Individual
MR. ORION JOSEPH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4670 SW WASHINGTON AVE, BEAVERTON, OR 97005-0530
(503) 646-8575
(503) 526-0783
Mailing address
4670 SW WASHINGTON AVE, BEAVERTON, OR 97005-0530
(503) 646-8575
(503) 526-0783
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12409
OR
Other
Enumeration date
07/21/2011
Last updated
11/15/2021
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